Annales de cardiologie et d'angeiologie最新文献

{"title":"Safety of exercise training for cardiac patients : results of a French multicenter COCARE study (COmplications in CArdiac REhabilitation)","authors":"Bruno Pavy ,&nbsp;Marie-Christine Iliou ,&nbsp;Mohamed Ghannem ,&nbsp;Dany Marcadet ,&nbsp;Warner Mampuya","doi":"10.1016/j.ancard.2025.101940","DOIUrl":"10.1016/j.ancard.2025.101940","url":null,"abstract":"<div><h3>Background</h3><div>Cardiac rehabilitation is widely recognized as beneficial for patients with coronary artery disease, post-cardiac surgery, and heart failure, although it is underutilized. However, the benefit-risk balance must be updated to reflect the evolving characteristics of treated populations.</div></div><div><h3>Objective</h3><div>To evaluate the safety of supervised exercise training in a large sample of French cardiac rehabilitation patients, and to assess the utility of the modified Risk of Activity Related Events (RARE) score in identifying low-risk individuals.</div></div><div><h3>Methods</h3><div>This multicenter observational study included 6,793 patients from 32 centers surveyed between 2023 and 2025. Each center collected data over four consecutive months, including patient characteristics and events that interrupted programs, required transfer to acute care, or resulted in rehabilitation cessation. The modified RARE score was applied to identify a low-risk subgroup. Events were considered activity-related if they occurred during or within one hour of a training session.</div></div><div><h3>Results</h3><div>A total of 964 events (14.2%) were reported, of which 154 (2.3%) were activity-related. Two cardiac arrests occurred—one fatal—representing 0.98 cardiac arrests and 0.49 deaths per 100,000 patient-hours of training. A modified RARE score &lt; 4 defined a low-risk group with an area under the ROC curve of 0.67 and an excellent negative predictive value (0.99). However, specificity was limited (0.32), reflecting the low incidence of events even in high-risk patients.</div></div><div><h3>Conclusion</h3><div>The COCARE study confirms the low risk of supervised exercise in phase II cardiac rehabilitation. The modified RARE score may be useful in identifying patients who could safely benefit from alternative, less monitored formats such as telerehabilitation.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101940"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118255","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibrose endomyocardique biventriculaire mimant une endocardite infectieuse","authors":"Falah Aboukhoudir ,&nbsp;Karim Moussa ,&nbsp;Sami Rahmani ,&nbsp;Safia Chebrek ,&nbsp;Sofiene Rekik ,&nbsp;Alexandra Dernys","doi":"10.1016/j.ancard.2025.101931","DOIUrl":"10.1016/j.ancard.2025.101931","url":null,"abstract":"<div><div>Endomyocardial fibrosis is a rare form of restrictive cardiomyopathy consequent to endocardial damage mediated by hypereosinophilia. It is characterized by fibrous deposits in the ventricular endocardium to a lesser extent, in the myocardium. We report the case of a 75-year-old man having chronic myeloid leukemia in blastic phase, in whom we diagnosed an endomyocardial fibrosis mimicking infective endocarditis. We describe diagnostic modalities and clinical evolution.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101931"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145096000","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clap de fin pour le numéro spécial CNCH des Annales de cardiologie et d’angéiologie","authors":"Jean-Louis Georges","doi":"10.1016/j.ancard.2025.101979","DOIUrl":"10.1016/j.ancard.2025.101979","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101979"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Editorial board / Ours rédaction","authors":"","doi":"10.1016/S0003-3928(25)00111-8","DOIUrl":"10.1016/S0003-3928(25)00111-8","url":null,"abstract":"","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101972"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358298","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effets de la pleine conscience (MBSR) sur la santé cardiométabolique: revue systématique et méta-analyse de 1200 participants","authors":"M. Temgoua ,&nbsp;F. Teddy Endomba ,&nbsp;C. Berenfeld ,&nbsp;A. Berenfeld ,&nbsp;J.G. Bloch","doi":"10.1016/j.ancard.2025.101963","DOIUrl":"10.1016/j.ancard.2025.101963","url":null,"abstract":"<div><h3>Contexte</h3><div>La réduction du stress basée sur la pleine conscience (<em>Mindfulness-Based Stress Reduction, MBSR)</em> est proposée comme approche complémentaire pour améliorer les issues liées au stress et réduire le risque cardiovasculaire.</div></div><div><h3>Méthodes</h3><div>Nous avons réalisé une revue systématique et une méta-analyse pour évaluer l’impact de la stratégie MBSR sur la santé cardiométabolique. Les essais contrôlés évaluant les effets de la MBSR sur les facteurs de risque cardiométaboliques et les événements cliniques ont été inclus. Une recherche exhaustive a été menée dans les bases de données PubMed, EMBASE, Cochrane Library, Web of Science et PsycINFO. Le risque de biais a été évalué à l’aide de l’outil RoB2, et une méta-analyse à effets aléatoires a été réalisée. Le biais de publication a été examiné à l’aide <em>du Funnel plot</em> et du test d'Egger.</div></div><div><h3>Résultats</h3><div>Quatorze études (n ≈ 1 200 participants) ont été incluses. La stratégie MBSR était associée à des réductions significatives de l’hémoglobine glyquée (HbA1c), de la pression artérielle systolique, du stress perçu et des symptômes dépressifs. Le biais de publication était peu probable pour la majorité des critères évalués, et la certitude globale des preuves variait de faible à élevée (fig. 1 à 7).</div></div><div><h3>Conclusion</h3><div>Ces résultats suggèrent que la stratégie MBSR pourrait constituer une intervention complémentaire efficace pour réduire le risque cardiométabolique et améliorer le bien-être psychologique. Des essais randomisés de qualité supérieure sont nécessaires pour confirmer ces résultats.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101963"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145358199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Faisabilité et sécurité de l’abord radial droit pour l’angiographie des pontages mammaires internes gauches","authors":"Taha Ettachfini ,&nbsp;Karim Badaoui ,&nbsp;Jose Castro Rodriguez","doi":"10.1016/j.ancard.2025.101927","DOIUrl":"10.1016/j.ancard.2025.101927","url":null,"abstract":"<div><h3>Background</h3><div>The right radial approach has become the preferred access route for coronary angiography and percutaneous coronary intervention. However, its use for left internal mammary artery graft (LIMA) angiography in patients with prior coronary artery bypass grafting (CABG) remains controversial. This study aimed to assess the feasibility and safety of the right radial approach compared with the left radial and femoral approaches for LIMA graft angiography.</div></div><div><h3>Methods</h3><div>We compared feasibility criteria (LIMA visualization and selective engagement, procedure duration, contrast volume, and fluoroscopy time) and safety parameters during LIMA graft angiography, across right radial, left radial, and femoral access in 760 post-CABG patients.</div></div><div><h3>Results</h3><div>LIMA visualization was successful in 92% of cases via the right radial access, compared to 96% for both the left radial and femoral access (<em>p</em> = 0.158). Selective LIMA engagement was significantly lower with the right radial access (61%) than with the left radial (86%) and femoral (78%) access (<em>p</em> &lt; 0.0001). No significant differences were observed in procedure duration, fluoroscopy time, or contrast volume. Haemorrhagic complications were significantly less frequent with the right radial approach (0%) compared to the femoral approach (6%, <em>p</em> = 0.0001). The rates of radial artery spasm and occlusion were similar between the two radial access groups.</div></div><div><h3>Conclusion</h3><div>The right radial access is a safe and effective alternative for LIMA graft angiography in post-CABG patients. It represents a valuable option when the left radial artery is unavailable, allowing to avoid the femoral access and its associated complications.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101927"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144879755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tachycardie de Gallavardin syncopale détectée sur un moniteur implantable chez une patiente âgée : prise en charge ablative","authors":"P.-Y. Tarlet,&nbsp;F. Elmkies,&nbsp;P. Lachambre,&nbsp;T. Zerah,&nbsp;J. Clerc,&nbsp;P. Meimoun","doi":"10.1016/j.ancard.2025.101930","DOIUrl":"10.1016/j.ancard.2025.101930","url":null,"abstract":"<div><div>We report the case of a 75-year-old female patient who was evaluated for an exertional syncope, revealing an infundibular ventricular tachycardia. The diagnosis was made possible by the implantation of a loop recorder, which detected frequent episodes of non-sustained ventricular tachycardia. Radiofrequency ablation guided by a three-dimensional mapping system led to the complete suppression of the arrhythmias. This case highlights the value of implantable monitoring tools in the etiological diagnosis of syncope, the importance of obtaining a 12-lead ECG during the arrhythmia to determine its origin, and the role of three-dimensional mapping systems in the diagnosis and treatment of idiopathic ventricular arrhythmias.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101930"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Profil clinique, échocardiographique, prise en charge et pronostic des thrombi intraventriculaire gauches : étude rétrospective analytique","authors":"Taryètba Andre Arthur Seghda ,&nbsp;Abou Coulibaly ,&nbsp;Martin Wendlassida Nacanabo ,&nbsp;Djeme Claudine Dah ,&nbsp;Mireille Abouga Loya ,&nbsp;Laurence Flork ,&nbsp;Anna Tall Thiam ,&nbsp;Nobila Valentin Yaméogo ,&nbsp;André K Samadoulougou ,&nbsp;Patrice Zabsonre","doi":"10.1016/j.ancard.2025.101938","DOIUrl":"10.1016/j.ancard.2025.101938","url":null,"abstract":"<div><h3>Introduction/objective</h3><div>To analyze the clinical and echocardiographic features, as well as the prognosis of patients hospitalized for left ventricular thrombi.</div></div><div><h3>Materials and Methods</h3><div>This retrospective cross-sectional study was conducted in the Cardiology Department of the Bogodogo University Hospital Center. The study period, which extended from January 1, 2017, to October 31, 2023, aimed to achieve both descriptive and analytical objectives. The study population consisted of all hospitalized patients diagnosed with left ventricular thrombi, regardless of the underlying cardiac pathology. Data collection focused on clinical characteristics, echocardiographic parameters, and in-hospital mortality outcomes.</div></div><div><h3>Results</h3><div>Sixty-five patients were included. Underlying heart conditions were mostly cardiomyopathies: Ischemic, idiopathic, and peripartum. Thrombi were considered high embolic risk in 49.2% of cases. In-hospital mortality was 23%. The mobility or floating nature of the thrombi did not influence mortality. Factors associated with in-hospital death were dyspnea of at least stage 3 and cardiogenic shock.</div></div><div><h3>Conclusion</h3><div>Left ventricular thrombi are common to ischemic, idiopathic, and peripartum cardiomyopathy. They don’t increase in-hospital but do increase morbidity.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101938"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145095994","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TAVI en centres non chirurgicaux : entre pragmatisme clinique et mirage réglementaire","authors":"Radwan Hakim,&nbsp;Franck Albert","doi":"10.1016/j.ancard.2025.101915","DOIUrl":"10.1016/j.ancard.2025.101915","url":null,"abstract":"<div><div>TAVI has emerged as a safe and effective alternative to surgical aortic valve replacement, including in low-risk patients. However, French regulations still require the procedure to be performed exclusively in centers with on-site cardiac surgery. While historically justified, this requirement now appears outdated in light of technical advancements, reduced complication rates, and reassuring registry data. Several countries have already demonstrated the feasibility and safety of TAVI in experienced non-surgical centers. The current restriction generates inequalities in access, longer waiting times, and loss of patient opportunity. A structured evolution of the model, based on experience, quality criteria, and organized collaborations, could broaden access to TAVI without compromising safety. It is time to reconcile safety, pragmatism, and equitable access.</div></div>","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101915"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863950","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Fibrillation atriale révélatrice d’un hyperaldostéronisme primaire : à propos d’un cas","authors":"Hind Hibatouallah ,&nbsp;Mohamed Mehdi Guedira ,&nbsp;Selma Siagh ,&nbsp;Asmae Benssied ,&nbsp;Youssef Fihri ,&nbsp;Zouhair Lakhal ,&nbsp;Aatif Benyass","doi":"10.1016/j.ancard.2025.101952","DOIUrl":"10.1016/j.ancard.2025.101952","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Primary hyperaldosteronism is the most common cause of secondary hypertension, with a prevalence estimated between 5% and 15%. Despite this, it remains largely underdiagnosed due to often non-specific clinical manifestations and insufficient screening. However, primary hyperaldosteronism is associated with significantly higher cardiovascular morbidity and mortality compared to essential hypertension, regardless of blood pressure levels and usual cardiac remodeling. Recent studies have highlighted a direct link between primary hyperaldosteronism and atrial fibrillation—the most common sustained arrhythmia in adults—associated with increased cardiovascular risk. This connection is partly explained by the direct involvement of the renin-angiotensin-aldosterone system in the pathophysiology of this arrhythmia.&lt;/div&gt;&lt;div&gt;We report the case of a patient with moderate hypertension, persistent hypokalemia, and unexplained atrial fibrillation. The absence of hemodynamic impact on echocardiography and the exclusion of classical etiologies of atrial fibrillation led to the suspicion of primary hyperaldosteronism. Hormonal testing confirmed the diagnosis of primary hyperaldosteronism due to a Conn's adenoma. A laparoscopic adrenalectomy was performed, with favorable outcomes.&lt;/div&gt;&lt;div&gt;This case highlights the often underestimated association between primary hyperaldosteronism and atrial fibrillation, and emphasizes the importance of targeted screening in hypertensive patients with unexplained atrial fibrillation, to optimize management and improve cardiovascular prognosis.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;div&gt;L’hyperaldostéronisme primaire est la cause la plus fréquente d’hypertension artérielle secondaire, avec une prévalence estimée entre 5 et 15 %. Malgré cela, il reste largement sous-diagnostiqué, en raison de manifestations cliniques souvent peu spécifiques et d’un dépistage encore insuffisant. Cependant, l’hyperaldostéronisme primaire est associé à une morbidité et une mortalité cardiovasculaires significativement plus élevées que l’hypertension artérielle essentielle, indépendamment des chiffres tensionnels et des remaniements cardiaques habituels. Des études récentes ont mis en évidence un lien direct entre l’ hyperaldostéronisme primaire et la fibrillation atriale, principale arythmie soutenue de l’adulte, associée à une augmentation du risque cardiovasculaire. Ceci s’explique notamment par l’implication directe du système rénine-angiotensine-aldostérone dans la physiopathologie de cette arythmie.&lt;/div&gt;&lt;div&gt;Nous rapportons le cas d’un patient présentant une hypertension artérielle modérée, une hypokaliémie persistante et une fibrillation atriale inexpliquée. L’absence de retentissement hémodynamique à l’échocardiographie, ainsi que l’exclusion des étiologies classiques de la fibrillation atriale, ont conduit à suspecter un hyperaldostéronisme primaire. Le bilan hormonal a confirmé le diagnostic d’ hyperaldostéronisme primaire en rapport avec un adénome d","PeriodicalId":7899,"journal":{"name":"Annales de cardiologie et d'angeiologie","volume":"74 5","pages":"Article 101952"},"PeriodicalIF":0.3,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145118142","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}